择优转编机制对合同制护士付出-获得不平衡状况的影响

目的探讨择优转编机制对合同制护士付出-获得不平衡（the effort-reward imbalance, ERI）状况的影响，为稳定护理队伍提供参考依据。方法在实施择优转编机制前后，采用ERI量表对348名合同制护士进行调查。结果择优转编后，合同制护士获得维度评分及职业的满意度和工作安全性评分均高于择优转编前；ERI比例低于择优转编前，差异具有统计学意义（均P〈0．001或P〈0．05）。结论实施择优转编机制提高了合同制护士的职业安全感与归属感，降低了合同制护士的ERI状况，有利于稳定护理队伍，提高护理队伍的竞争力与活力。

Influence of preferred contract-altering system on contracted nurses

Objective To explore the influence of preferred contract-altering system on contracted nurses to provide reference for stabilizing a team of high quality nursing. Method A scale on effort-reward unfairness （ERI） was used to investigate the ERI conditions among 348 contracted nurses before and after the enforcement of preferred contract-altering system. Results The scores on satisfaction with nursing work and the security in nursing work after the enforcement of the system were higher than before the enforcement （P 〈 0.01）. The ratio between effort and reward after the enforcement was lower than before the enforcement （P 〈 0.01）. Conclusions The preferred contract-altering system may enhance the job security and sense of belonging. It may decrease the ERI condition among contracted nurses, which are beneficial for stabilizing the nurses team, retaining talents and increasing the group＇s competitiveness and vigour.